Emergent repair of a ruptured abdominal aortic aneurysm using an AneuRx stent-graft

Purpose: To report a case of ruptured abdominal aortic aneurysm (AAA) treated with a commercially available endoluminal graft. Case Report: Ruptured AAA was diagnosed in a 58-year-old man with lower abdominal pain, hypotension, and syncope. A contrast-enhanced computed tomographic (CT) scan confirmed the presence of a 7-cm ruptured infrarenal AAA associated with a large retroperitoneal hematoma. The aneurysm was successfully excluded with a bifurcated AneuRx stent-graft placed through a femoral approach in an emergent procedure. The patient was discharged on the third postoperative day. CT scans at 1 and 10 months demonstrated complete resolution of the retroperitoneal hematoma and continued exclusion of the aneurysm. Conclusions: The AneuRx stent-graft can be successfully applied for the treatment of a ruptured AAA in emergency situations.